JAMES EDWARD STANISLAW MD
NPI 1457307274
Orthopaedic Surgery in Lenoir, NC

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
88.4/100
CMS Quality Rating
232 SHARON AVE NW, LENOIR, NC 28645(828) 758-7091(828) 758-7058 Get Directions Write a Review

NPPES record last updated: April 28, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James Edward Stanislaw Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES EDWARD STANISLAW MD (NPI 1457307274) is an individual orthopaedic surgery provider in Lenoir, North Carolina, licensed in North Carolina (9601078) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Caldwell Memorial Hospital, and is a graduate of Yale University School Of Medicine (1991).

NPPES Registry Identity

NPI1457307274
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJAMES EDWARD STANISLAWCredential: MD
Location Address232 SHARON AVE NWLenoir, NC 28645-4326
Mailing Address232 Sharon Ave NwLenoir, NC 28645-4326 · (828) 758-7091 · Fax (828) 758-7058
Fax(828) 758-7058
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 1991
Enumeration DateMay 25, 2006
Last NPPES UpdateApril 28, 2016
NPI 1457307274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NC · 9601078
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

232 SHARON AVE NW, Lenoir, NC 28645

Other Identifiers 3

Medicaid8979408NC
Medicare ID-Type Unspecified229874CNC
Medicare UPING32247NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

James Edward Stanislaw Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537236807
PECOS Enrollment IDI20080929000427
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
219 services41 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
166 services128 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
97 services78 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
62 services32 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
60 services45 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
32 services27 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Caldwell Memorial Hospital

Acute Care Hospitals · Lenoir, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340041
Location321 Mulberry St SWLenoir, NC 28645 · Caldwell County
Emergency services

Frye Regional Medical Center

Acute Care Hospitals · Hickory, NC
1/5 CMS rating
OwnershipProprietary
CMS Certification Number340116
Location420 N Center StHickory, NC 28601 · Catawba County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28645 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.91
Promoting Interoperability99
Improvement Activities40
Cost67.25

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers11 claims11 services$7.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
232 SHARON AVE NW
LENOIR, NC 28645
Physical Therapist
232 SHARON AVE NW
LENOIR, NC 28645
Physical Therapist
232 SHARON AVE NW
LENOIR, NC 28645
Orthopaedic Surgery
232 SHARON AVE NW
LENOIR, NC 28645
Physical Therapist
232 SHARON AVE NW
LENOIR, NC 28645
Physical Therapist
232 SHARON AVE NW
LENOIR, NC 28645
Physician Assistant (Surgical)
232 SHARON AVE NW, SUITE 400
LENOIR, NC 28645
Physical Therapist
232 SHARON AVE NW
LENOIR, NC 28645

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Stanislaw's NPI number?

The NPI number for James Stanislaw is 1457307274. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is James Stanislaw located?

James Stanislaw practices at 232 Sharon Ave NW, Lenoir, NC 28645. The listed phone number is (828) 758-7091.

What is James Stanislaw's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Stanislaw enrolled in Medicare?

Yes. James Stanislaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Stanislaw accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list James Stanislaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Stanislaw affiliated with any hospitals?

According to CMS data, James Stanislaw is affiliated with Caldwell Memorial Hospital and Frye Regional Medical Center.

When was this NPI record last updated?

The NPPES record for James Stanislaw was last updated on April 28, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.